Dietary Intake Method for Adults with Intellectual Disa

成人智力障碍的膳食摄入方法

• 批准号: 7128484
• 负责人: KATHLEEN HUMPHRIES
• 金额: $ 21.2万
• 依托单位: UNIVERSITY OF MONTANA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7128484
• 关键词: behavioral /social science research tag; choice; clinical research; developmental disease /disorder; diet; educational resource design /development; health behavior; human subject; mental retardation; mental retardation education /training; nutrition education; nutrition related tag; person with disability; photography

DESCRIPTION (provided by applicant): Persons with disabilities represent about 17 percent of the population but account for as much as 47 percent of medical care expenditures. These high costs can be attributed, in part, to secondary conditions. Both the Surgeon General of the United States and Healthy People 2010 call for efforts to prevent and manage secondary conditions experienced by this vulnerable population. Such efforts may also substantially reduce medical services utilization and associated costs. Data suggest that several secondary conditions experienced by adults with intellectual and developmental disabilities (I/DD) are related to inadequate nutrition and that nutritional environments in supported living arrangements may not meet dietary standards. Yet, there are no convenient and reliable methods for assessing dietary intake for this population. The long-term objective of this research is to is to improve the food habits and practices of adults with I/DD who live in supported arrangements in the community. The specific aim of this project is to test the reliability and validity of an innovative method, Food On Film, for assessing the dietary intake of adults with significant cognitive impairments living in the community. Three studies are proposed to test this novel yet simple approach in settings with successively less control; from highly controlled standardized settings to home settings where people routinely eat. In the first study, 30 dieticians will use a standard set of photographs taken by researchers following the Food on Film protocol to develop food lists and to assign number of servings to each food group. Their assessments will be compared to a "gold standard" measure of weighed food records. In the second study, 15 adults with I/DD will follow the same protocol to take pictures of meals they select and consume in a highly controlled situation. Again, researchers will compare the dieticians' review of the Food On Film photos to the standard, with particular attention to the ability of dieticians to produce accurate assessments across the food groups. In the third study, the same 15 adults with I/DD will use the Food On Film Kit to record dietary intake at home. Again, researchers will assess reliability and consistency of assessments prepared by the dieticians.

描述（由申请人提供）：残疾人约占人口的17％，但占医疗保健支出的47％。这些高成本可以部分归因于次要条件。美国外科医生和2010年健康人民都呼吁努力预防和管理这一脆弱人群经历的次要条件。这样的努力还可以大大降低医疗服务的利用和相关成本。数据表明，智力和发育障碍成年人（I/DD）经历的几种次要疾病与营养不足有关，并且在支持的生活安排中的营养环境可能不符合饮食标准。但是，没有方便可靠的方法可以评估该人群的饮食摄入量。这项研究的长期目标是改善与社区支持安排的I/DD成年人的饮食习惯和实践。该项目的具体目的是测试一种创新方法，即电影食品的可靠性和有效性，以评估社区中具有重大认知障碍的成年人的饮食摄入。提出了三项研究，以测试这种新颖而简单的方法，这些方法连续地控制了。从高度控制的标准化设置到人们通常会吃饭的家庭环境。在第一项研究中，30位营养师将使用遵循电影协议的食物制作的研究人员拍摄的一组标准照片来开发食物清单并为每个食物组分配份量。他们的评估将与称重食品记录的“黄金标准”量度进行比较。在第二项研究中，有15名具有I/DD的成年人将遵循相同的协议，以拍摄他们在高度控制的情况下选择和消费的餐点的照片。同样，研究人员将将营养师对电影照片中的食物的评论与标准进行比较，并特别关注营养师在食品群体中进行准确评估的能力。在第三项研究中，具有I/DD的15名成年人将使用胶片套件上的食物在家中记录饮食摄入量。同样，研究人员将评估营养师准备的评估的可靠性和一致性。